Understanding bulimia

Hay, Phillipa J. (2007) Understanding bulimia. Australian Family Physician, 36 (9). pp. 708-713.

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Abstract

Background: Bulimia nervosa (BN) and related eating disorders such as binge eating disorder are common. General practitioners can play a key role in the identification and management of BN and related eating disorders.

Objective: This article describes the presenting and associated features of BN and overviews evidence based treatment approaches.

Discussion: Key features are recurrent episodes of binge eating, extreme weight control behaviours and over concern about weight and shape issues. By definition people are not underweight. Risk factors include being from a western culture, obesity, exposure to a restrictive dieting environment and low self esteem. People are more likely to present asking for help in weight control or a physical problem secondary to the eating disorder. Evidenced based therapies with good outcomes in current use are cognitive behaviour therapy (in full or guided self help forms), high dose fluoxetine, and interpersonal psychotherapy. It is important to convey optimism about treatment efficacy and outcomes.

Item ID: 2801
Item Type: Article (Research - C1)
ISSN: 0300-8495
Keywords: bulimia; diagnosis; treatment
Additional Information:

Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners: www.afp.org.au

Date Deposited: 27 Sep 2009 23:44
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110319 Psychiatry (incl Psychotherapy) @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health @ 100%
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